Individual
MR. KRIS-ANGELO NATIVIDAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
N.P.
Contact information
Practice address
130 E 77TH ST, BLACK HALL 4TH FLOOR, NEW YORK, NY 10075-1851
(212) 434-3000
Mailing address
56 28TH AVE, BROOKLYN, NY 11214-5518
(917) 361-0986
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
—
—
363LA2200X
Adult Health Nurse Practitioner
Primary
306156
NY
363LG0600X
Gerontology Nurse Practitioner
340868
NY
Other
Enumeration date
01/22/2013
Last updated
01/22/2013
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